Enamel Erosion — How It Affects Your Teeth

You are what you eat and making sure that you eat and drink the right foods and beverages and the way you eat them will be important to you and your teeth. If you consume too much acid in drinks and foods, it could wear away your dental enamel (outside layer covering your teeth) and expose the dentin that lies underneath the dental enamel. A multicenter research study reported that dental erosion is on the increase in the United States, making prevention more important than ever. (1)

What is Enamel Erosion? Enamel erosion occurs when the enamel of the teeth is worn away or reduced by a chemical acid process. There are two types of enamel erosion:

Signs of Enamel Erosion When the enamel on the teeth wear down, it can cause several things to occur:

Teeth may become further worn down

Teeth become discolored because the enamel has worn away and the dentin is exposed; see dentin in yellow on the image below

Tooth sensitivity can occur because the enamel is worn away both on the lip and tongue surfaces of the teeth and the dentin is a softer material than the enamel and is more sensitive to touch, air, biting forces and acid exposure

The edge of the front teeth may look transparent

If you notice these types of changes in your mouth, please consult your dentist and schedule an appointment for a professional consultation to examine your teeth.

What Changes Can Be Made to Improve Your Teeth? Once you have completed your appointment with the dentist, you may want to discuss what next steps need to occur in order to reduce dental erosion in the mouth:

Over what time span, have you been suffering from enamel erosion?

Identify the frequency of acid intake and how the acids are consumed.

Consult a nutritionist to assist in dietary assessment and reducing acid intake.

Determine if you suffer from gastric reflux, regurgitation or eating disorders.

Identify which teeth will need to be replaced by cosmetic restorations and/or bonding agents.

Dental erosion affects all age groups and appears to be related to dentin hypersensitivity. (2) Acidic foods and drinks need to be eliminated because they cause erosion of the teeth. A desensitizing toothpaste can also be used that has a low abrasivity for pain relief of. Sealants may be considered to be placed or bonding agents to reduce the progression of erosion. The application of fluoride will help to increase resistance of the acid dissolution rather than remineralizing the teeth. Consult your dentist to discuss options for treating enamel erosion and the type of esthetic treatments he/she would provide to you.

TOOTH SENSITIVITY

Definition

Tooth sensitivity occurs when the enamel that protects our teeth gets thinner, or when gum recession occurs, exposing the underlying surface, the dentin, thus, reducing the protection the enamel and gums provide to the tooth and root.

Signs & Symptoms

If hot, cold, sweet or very acidic foods and drinks, or breathing in cold air, makes your teeth or a tooth sensitive or painful, then you may have sensitive teeth. Tooth sensitivity can come and go over time.